IEHP

Analyst III - Actuarial Services

IEHP

full-time

Posted on:

Origin:  • 🇺🇸 United States • California

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Salary

💰 $104,042 - $137,842 per year

Job Level

Mid-LevelSenior

Tech Stack

SQL

About the role

  • Leads on-going analyses of financial, budgetary or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment.
  • Identifies key issues and trends and brings them to the attention of higher-level staff members.
  • Uses professional concepts and internal policies and procedures to solve problems or provide suggestions.
  • Builds financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters.
  • Quantifies the financial impact of opportunities or expenditures.
  • Tests and reconciles all financial models and analytic results.
  • Provides on-going financial analyses.
  • Consolidates a wide-range of operating and financial projections for the development of short- and long-term business plans.
  • Works on complex financial analysis projects more independently and under supervision of a more senior staff member if required.
  • Monitors, analyzes and evaluates complex data using statistical tools to identify variances, problems and trends.
  • May be responsible for bigger projects.
  • Generates and distributes regularly scheduled actuarial reports.
  • Reviews and organizes actuarial and operational data for reports.
  • Utilizes statistical tools to monitor and provide ongoing analysis of these reports, noting any aberrant data.
  • May be responsible in the preparation of complex reports.
  • Participates or leads in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives.
  • Researches and resolves data integrity issues.
  • Works independently or with other departments to solve problems.
  • Acts as a resource to staff in other departments, providing information and explanations related to financial data as needed.
  • Answers most questions and refers highly complex issues to others.
  • May participate in workgroups or meetings.
  • Communicates and presents financial analyses and models to appropriate audiences.
  • May assist in training staff on the use of financial reports and data.
  • Performs a variety of ad hoc data and actuarial analysis requests.

Requirements

  • Four (4) years of actuarial experience required
  • Will accept three (3) years of actuarial experience with completed ASA credential in lieu of full four (4) year work experience requirement
  • Healthcare and/or Medicaid experience is preferred
  • Bachelor’s degree from an accredited institution required
  • Passed at least four (4) SOA exams and plans to continue taking exams
  • SQL Programming knowledge is preferred
  • Excellent interpersonal and communication skills (both oral & written)
  • Ability to work independently and take initiative.
  • Extremely organized, sharp attention to detail, strong work ethic, and expansive learner.
  • Ability to identify and resolve problems, think creatively, strategically, and analytically
  • Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval.